Organization Active NPI

Verrazano Medical Supply Inc.

  • Oxygen Equipment & Supplies (DME)
  • Brooklyn, NY
National Provider Identifier
1376564385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1209201 Issued in NY
Legal business name
VERRAZANO MEDICAL SUPPLY INC.
Practice address
1117 Church Ave
Brooklyn, NY 11218-2803
Phone
(718) 564-1567
Fax
(718) 564-1569
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olexander Kautsis
Title
Qwner
Phone
(718) 564-1567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1209201 NY Primary

Addresses

Primary practice location

1117 Church Ave
Brooklyn, NY 11218-2803

Mailing address

1117 Church Ave
Brooklyn, NY 11218-2803
Phone (718) 564-1567

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376564385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182803",
            "telephone_number": "718-564-1567",
            "fax_number": "718-564-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182803",
            "telephone_number": "718-564-1567",
            "fax_number": "718-564-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERRAZANO MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUTSIS",
        "authorized_official_first_name": "OLEXANDER",
        "authorized_official_title_or_position": "QWNER",
        "authorized_official_telephone_number": "718-564-1567"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "1209201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.